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APPLICATIO�FOR CONSTRUCTI�1 PERMIT ��"`"` <br /> r. . . � � <br /> TO BE COMPLETED IN INK—PLEASE PRINT � <br /> a.V'L Cl.l l HEN ING SVSTEM: J GAS RSELECTRIC J_. —� <br /> BUILDING DEPARTMENT �- --- <br /> 259 8810 <br /> DEMOLITION COMBINATION X BUILDING MECHANICAL PLUMBING SIGN <br /> .,e�:�-- " u���eoo��Ess a�v zir v�or�E <br /> ,Lr,s�r.c /'Mus,�'A [vioz �ExrE,e Ed�eGrr v�'3 3�G�,.�1 <br /> ,�d,.�.� <br /> uni�nooaess cirv i E <br /> - - cirr Z�v rrane <br /> . .,.a�r*onoismr��n ranr�nonness <br /> �t71�_� ��v <br /> ,....' lCp1IFLCIOP MLIlA00RE55 LItY 21P FIIONE LICENSE� <br /> .A<HnyiCµLON1MQGR M�RApOFE55 LiiY ZIP PNIXIE 14EN5E� <br /> �. .v�:COIIiR�CtOII MNLM�flE55 [itt DP PIKK1E ll'_ENSE• <br /> c✓„s c�vroeK <br /> /CNELV AODI110N ALTERATION FEPAIR DEMOLITION . WOOOSTOVEFflPLINSERT BUILDINGRELOCATION <br /> CONL�Lt P[F5011 ANO PNONE NO <br /> �CI���aGiVRiLEOFKOFM �I� .� <br /> i'�,;:f.'.Iil�.WORN/JIO SIXIAiIE FC010.GE�NVClVEO h <br /> �..; l �c�'S� <br /> �-��Cf� y I HEREBY CERTIFV THAT I HAVE READ AND EXAMMED THIS <br /> ;,.�n_v use�em�o�wa <br /> APPUCATION AND KNOW THE SAME TO BE TflUE AND CORRECT ALL <br /> i .:.:i��scniarrovavnor[arrls�orvrvee�oWoaa*ecHvouncociEs PROVISIONSOFLAWSANDORDINAIlCESGOVERNINGTHISTYPEOF <br /> �� WORK WILL BE C06�PLETE7 WITM VMETHER SPECIFlED HEREIN OR <br /> B�p�K o� NOT.THE GRANTING Of A PERlAIT�OES NOT PRESUME TO GIVE <br /> � - AUiHORITV TO VIOLATE Ofl CANCEL THE PROV�SIUNS OF ANV <br /> OTHE9 STATE OA LOCAL LAV!REGULATING CONSTRUCTION OR THE <br /> PERFORMFNCE OF CONSTRUCTION.iHAT I Ald Al/THORI2ED BV THE <br /> � OWNER OF THIS PROPERTV TO PERFORM THE WORK FOfl WHICH <br /> APPLICATION IS MADE AND I COMPLY WITN THE STATE <br /> --" CONTRACTORS LAW 182]RCW AND 296200 WAC. <br /> S�GNaNaEOFf,oNrnecranoRAurNefl¢EonC.ENi o�tE <br /> ----- �1 Gl 5G„Cv�c�s _ <br /> -.:inoc:us� ' 1 ,ruc�v.sci. �srties� �[rrs;t•A oauSJ�+.'�Me <br /> /0�o E�JE�'6, sl.� u. � ��, t� <br /> PLUMBING MECHANICAL� <br /> ryp. TYPE OF FI%Tl1FE OR ITEA7 FEE N0. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET ITORETI !eC-A�HNDLG UNITS-HP <br /> �ATNTUB FORCEDAIRS`.'STEh75-BTU. M E.A. <br /> LAVATORYIWASHBASIN� UNITHEATEPS-B.T.U. M <br /> SHOWER CLOTHESDRVEflS . <br /> � KITCHEN SINK 8 DISP VENTILATION FAN _ <br /> DISHWASHER flANGE HOOD - <br /> LAl1NDRV TRAV WATER HEATER <br /> CLOTHES\vASHER V100DSTOVE <br /> � URINAL METALFIflEPLACEBCMIMNEY <br /> DFINKING FOUNTAIN FIflEPLACE INSERT <br /> -- -� FLOOR�BAItl HEAT Pl11AP <br /> BACKFLOV!PREVENTERS GAS PIPING <br /> ROOF ORAINS-RAINLEADERS E%HAUST FI1N <br /> SINK(SERVICE-BAfl.ETC.� <br /> � SUB TOTAL 5 SUB TOTAL a <br /> -- -"-" PERMIT S PERMIT 5 <br /> � TOTALFEE 5 TOTALFEE 5 <br /> FOR OFFICE USE ONLY: <br /> .� ..i �.oncn qe�nennacn socec�ortcK �W�cr�tc.cuimtn ru aec[mnio <br /> I__ <br /> , _,�„� w��rin vnuHrsne FEES VALUATION FEE <br /> _ DUII.DING _----_ 1'1 U—_ _f�L�1 <br /> 'G�SIIlOWA9:f IVf�f�fCON9R111R utnK� xaUmru✓.pu!'�s — <br /> „ , -� V_ ��"� — FLUUL'�M1'� . ____ <br /> i p�p� NOAf SL08iE5 0ASE4ENi M[CHANILAL <br /> iS I J <br /> . ,nrcviO�u fn�[srexxiEasnEO� neir.��iwaiunor� ADDITIOIULPIANGHECN _ <br /> ND ___ OtH[R � <br /> . _. -._- —�i— <br /> �../. 11 f0�1 oVPIIiMLERS `/ �SU <br /> srnre nw�owc sunc�wnce <br /> . - P�A �^'�'��'�+<<��� CITYOFEVEflETT ruiaucwonKs <br /> .�... ,. � � � LOCAL SRLES <br /> -'� �11. � � TAX COOE IS 3105 TaT^� �% '��U <br />